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Total 274 results found since Jan 2013.

Eggs And High Blood Pressure: Decoding The Dietary Dilemma
Conclusion In navigating the winding road of managing high blood pressure, several key points emerge. Eggs, while a source of ongoing debate, can form part of a balanced diet for most people. It’s essential, though, to consider your entire dietary pattern, emphasizing heart-healthy choices like those found in the DASH and Mediterranean diets. Avoiding processed meats and sugary breakfast options, while incorporating nutrient-dense foods, can significantly impact your blood pressure management. But remember, it’s not all about diet. A comprehensive approach, involving regular physical activity, stress mana...
Source: The EMT Spot - July 21, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

How Alcohol Affects Blood Pressure: A Detailed Insight
Conclusion In this guide, we’ve explored the complex relationship between alcohol and blood pressure. We’ve seen that alcohol, whether consumed moderately, heavily, or in a binge pattern, can impact blood pressure. We also delved into the biological mechanisms at play, the role of various drinking patterns, and the sobering revelations of recent research. While the pleasure of a drink might be fleeting, its effects on our body, particularly on our blood pressure, can be long-lasting. The key takeaway? Moderation. Even a small reduction in alcohol intake can have significant health benefits, partic...
Source: The EMT Spot - July 18, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Can You Drink Green Tea With Hypertension?
Conclusion The query—can you drink green tea with hypertension—finds its answer in a blend of research and individualized healthcare advice. While green tea holds potential benefits for hypertension, its consumption should be approached responsibly, bearing in mind individual reactions, moderation, and professional guidance. Ultimately, managing hypertension involves a holistic lifestyle approach, where the tranquil, antioxidant-rich green tea might find its rightful place. Read also: Best Foods, Herbs And Spices To Lower Blood Pressure Reference Green tea consumption is associated with decreased DNA d...
Source: The EMT Spot - June 20, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

CBG Oil ’ s Impact on Blood Pressure: Risks, Benefits, and Future Potential
Uncover the fascinating findings of a recent study on CBG oil and its effects on blood pressure, the potential dangers for those with normal levels, and the promising avenues for further research and therapeutic applications in the realm of cannabinoids. Quick Summary CBG oil, a lesser-known cannabinoid, has been found to significantly decrease blood pressure in healthy mice, according to a study conducted at the Pennsylvania State University College of Medicine. While CBG oil has potential as a treatment for high blood pressure, it could be dangerous for individuals with normal blood pressure levels due to the r...
Source: The EMT Spot - May 7, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: News Source Type: blogs

7 Signs That Say “Do Not Resuscitate”
It is a moment in time that you will certainly face at some point in your EMS career. Most of us will face this decision many times over throughout our tenure. Should I attempt resuscitation? The question may be complicated by family, friends or bystanders who have, in good faith, started CPR prior to your arrival and fully anticipate that you will continue. Or perhaps other members of emergency services arrived before you and declared the patient not workable. They may advise you of their findings, without much further detail. “This guys dead.”  Often, responders who aren’t responsible for documentin...
Source: The EMT Spot - November 14, 2022 Category: Emergency Medicine Authors: Steve Whitehead Tags: EMT Source Type: blogs

High Blood Pressure and Erectile Dysfunction
Research confirms that high blood pressure and ED are closely linked. But did you know the majority of cases of ED are caused by hypertension? Keep reading to find out more. Experts suggest that “hypertension is sometimes a standalone condition and sometimes it’s associated with other conditions, which also impact erectile dysfunction.” According to the European Society of Cardiology, this likelihood is almost double in men with uncontrolled high blood pressure. Long-term exposure to hypertension and elevated blood pressure damages the arterial wall. This leads to atherosclerosis and the narrowing of art...
Source: The EMT Spot - November 8, 2022 Category: Emergency Medicine Authors: Michael Kutryk Tags: Guides Blood Pressure Source Type: blogs

November 2022: More than Broken
"I have this older patient who fell on his buttock at home," said my resident. “He has shoulder pain, but didn't come down on the shoulder and was here within the month with an adhesive capsulitis. He had x-rays and is to see the orthopedist this week. I was only going to x-ray the hips. What do you think?" "Let me take a look," I said while pulling up the old images.The glenohumeral joint space looked rough and narrow. Perhaps there was a calcific tendonitis seen between the acromion and the humeral head. Given the extent of degenerative joint disease, certainly this patient could have chro...
Source: Lions and Tigers and Bears - October 31, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

forgetting my heart
When I was in college I spent a semester living in Germany and traveling around Europe. I started taking German in 9th grade, but 7 years later when I went to Germany, I still struggled with basic conversation. Many of my classmates grew up in German speaking families and they had a distinct advantage being bilingual. By the time I came back home though, I was fluent enough that I could carry on all my daily activities, eating, shopping, traveling, finances, etc in German. I was really proud of that accomplishment. When I returned though, i experienced something unusual that I haven’t heard other people talk about...
Source: Mr. Hassle's Long Underpants - October 30, 2022 Category: Emergency Medicine Authors: Doc Shazam Tags: Tales grief Source Type: blogs

December 2021: Check Out Checkpoint Inhibitors
​"Hey, can you check out this rash? It is all over," a nurse said to me."What can you tell me?""He has metastatic cancer. The rash started a couple days ago.""It's probably a checkpoint inhibitor rash. I'll check it out."Medicine has developed an entirely new approach to cancer since I went to medical school. Therapeutics were all about direct toxicity to rapidly dividing cells a few decades ago. Now we have an entirely new classification of treatment: immunotherapy.Immunotherapy tries to increase the body's ability to use its own defenses against cancer. One group of agents is...
Source: Lions and Tigers and Bears - December 1, 2021 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Who should give bad news?
I’m starting this post with a disclaimer, and while it’s been a hell of a lot of days since I posted, disclaimers are only an occasional thing. Generally. So my return starts with a disclaimer. Please enjoy this setup Tweet, and enjoy the foreshadowing: https://twitter.com/gruntdoc/status/1342323360580202497 then https://twitter.com/gruntdoc/status/1342325476929503233 Let’s start with the premise, and then I’ll fill in the details. Who is the best person to break bad news? Short version, it’s an ER doctor! Why??? Well, let’s get into that. When in med school one of the thousands of papers we were assigned (I th...
Source: GruntDoc - December 26, 2020 Category: Emergency Medicine Authors: GruntDoc Tags: Medical Source Type: blogs

Nasal Endoscopy for Urgent and Complex ED Cases
​Fiberoptics and endoscopy have changed the way we treat patients in the emergency department. Endoscopes are relatively easy to use, and can aid your diagnosis and treatment plan. Endoscopy may be useful in urgent cases, such as epistaxis, nasal foreign bodies, and ear debridement. It may also be helpful when dealing with more complicated presentations and critically ill patients, such as those with Ludwig's angina, epiglottis, tracheostomies, or those who need intubation.Fiberoptic tools are not just for surgeons and consultants. The endoscope has many uses in the emergency department, and we have a few tips and tricks...
Source: The Procedural Pause - October 28, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Cures for Cerumen Impaction
​Cerumen impaction removal may not be considered an emergent procedure in the emergency department, but this omnipresent natural phenomenon will bring patients, from infants to the elderly, to your department at all hours of the day and night because loss of hearing is a foreign and uncomfortable sensation.Cerumen impaction can cause complete hearing loss, pain, dizziness, chronic cough, and even infection. Patients who attempt to remove cerumen at home can end up with otitis externa or otitis media and even tympanic membrane trauma. The cerumen can block visualization of the tympanic membrane so TM rupture or ear infect...
Source: The Procedural Pause - October 1, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Pain from an Unknown Cause
​"My left hip has been hurting for a couple years, but it just got really bad in the past few weeks."My patient, who was in her 70s, didn't add much more to the history. No trauma. No fevers. No bowel or bladder problems. No significant past medical history. Her hip just hurt. She thought she needed an x-ray, and one was obtained.The left femoral head didn't look terrible. There was some irregularity, but there were no fractures or significant joint narrowing. This wasn't a case of neglected severe degenerative joint disease or avascular necrosis that needed a hip replacement.Some red flags started to show up t...
Source: Lions and Tigers and Bears - May 1, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Paracentesis: The Procedure
Discussion: The Z-track method minimizes fluid leakage from the puncture site. Injecting medication into the skin using this method is important to preventing post-procedure leaking. Once a needle has entered subcutaneous tissue and muscle, it opens a track that may not reseal immediately. There are also studies suggesting that Z tracks may reduce pain during injection. We suggest using the method during your paracentesis procedure.Z tracks are used for all kinds of intramuscular injections and can be applied to other sites on the body. Pull and press the skin and tissue 2 cm caudad to the deep abdominal wall and inser...
Source: The Procedural Pause - March 3, 2020 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs